Evaluation of an Enhanced Recovery Pathway in Post Surgical Cardiac Patients in Intensive Care. Warm, Wake and Wean

2013

Author : Lourdes Noronha
Release : 2013
Genre :
Kind : eBook
Book Rating : /5 ( reviews)

Book Synopsis Evaluation of an Enhanced Recovery Pathway in Post Surgical Cardiac Patients in Intensive Care. Warm, Wake and Wean by : Lourdes Noronha

Download or read book Evaluation of an Enhanced Recovery Pathway in Post Surgical Cardiac Patients in Intensive Care. Warm, Wake and Wean written by Lourdes Noronha. This book was released on 2013. Available in PDF, EPUB and Kindle. Book excerpt: Aim The aim of this research study was to evaluate the impact of an enhanced recovery pathway, utilizing Warm, Wake and Wean (WWW) protocol in eligible post surgical cardiac patients. Background The cardiothoracic and vascular intensive care unit (CVICU) at Auckland City Hospital began initiatives to increase our elective cardiac surgery cases, streamline patients' journey and improve cardiac service delivery. This initiative led to the development and use of an enhanced recovery pathway for elective cardiac surgical patients. Design An observational study was conducted using quantitative methods. A sample of 83 postsurgical cardiac patients was recruited into the study. They were enrolled if they met the inclusion criteria for the warm wake and wean protocol. Patients were excluded if they returned to theatre, had cardiac tamponade or heat failure. The WWW protocol was applied to all patients recruited into the study. Demographic and postoperative data from the patients clinical bypass charts including sedation, extubation times were measured in hours. Postoperative complications following extubation were analysed in percentages and number of hours in ICU were also measured. Results The overall finding of this study showed that length of sedation time was strongly associated with length of intubation time and was a significant predictor of prolonged intubation time in this small size, single-centre observational study. When sedation time was reduced in CVICU, the study group showed an increased number of extubations within less than six hours. There were also minimal postoperative complications seen post cardiac surgery, but more significantly no complications seen in early extubated patients in this study group. Conclusion This research study concluded that WWW has suggested a promising approach to fast tracking this population group. Multi-centre research is needed to determine whether reducing sedation time in the intensive care unit can promote early extubation safely in a larger sample of patients following cardiac surgery.

Perioperative Medicine E-Book

2021-02-16 Medical

Author : Mark F. Newman
Release : 2021-02-16
Genre : Medical
Kind : eBook
Book Rating : 207/5 ( reviews)

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Book Synopsis Perioperative Medicine E-Book by : Mark F. Newman

Download or read book Perioperative Medicine E-Book written by Mark F. Newman. This book was released on 2021-02-16. Available in PDF, EPUB and Kindle. Book excerpt: Based on the most current evidence and best practices, Perioperative Medicine: Managing for Outcome, 2nd Edition, is an easy-to-follow, authoritative guide to achieving optimal outcomes in perioperative care. Written and edited by recognized authorities in anesthesiology and surgical critical care, this fully updated edition helps you think critically about complex, long-term issues surrounding the care of the surgical patient, providing decision trees that define strategies to enhance the medical outcome of care. Focuses on what anesthesiologists, surgeons, and intensivists need to know in order to improve outcomes through evidence- and outcome-based approaches. Provides practical guidance on potential risks to all major organ systems, the etiology of particular organ dysfunctions, preoperative and intraoperative risk factors, and perioperative protection strategies to minimize potential complications. Features a consistent chapter format - with even more color-coded algorithms, summary tables, and boxes – that enables you to quickly explore and determine the best management approaches. Includes six all-new chapters: Perioperative Fluid Management; Delirium and POCD; Role of Palliative Care/ICU; Value-Based Care: The UK Model; CFO Perspective on Value; Hospital to Home (Perioperative Transitions of Care) Discusses timely topics such as quality improvement, pay-for-performance, preexisting disease and comorbid conditions in anesthesiology, and the team-based model of care. Features two new editors, surgeon Clifford Ko, MD, and Perioperative Summit leader, Michael (Monty) Mythen, MD.

Essential Clinical Anesthesia

2011-07-11 Medical

Author : Charles Vacanti
Release : 2011-07-11
Genre : Medical
Kind : eBook
Book Rating : 401/5 ( reviews)

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Book Synopsis Essential Clinical Anesthesia by : Charles Vacanti

Download or read book Essential Clinical Anesthesia written by Charles Vacanti. This book was released on 2011-07-11. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

Topics in Colorectal Surgery

2003 Medical

Author : Francis Seow-Choen
Release : 2003
Genre : Medical
Kind : eBook
Book Rating : 747/5 ( reviews)

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Book Synopsis Topics in Colorectal Surgery by : Francis Seow-Choen

Download or read book Topics in Colorectal Surgery written by Francis Seow-Choen. This book was released on 2003. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal surgery is a very ancient art that has, over the last few decades, found a sound basis in science. Amongst its famous ancient practitioners was Hippocrates himself. Colorectal-surgical departments have been springing up worldwide and many of the surgical colleges and academies are beginning to see the importance of this branch of medicine. After rising from humble beginnings, the specialty of colorectal surgery is now a much-sought-after career amongst young doctors all over the world.Topics in Colorectal Surgery is an invaluable book from one of the leading colorectal centres in the world. It represents some of the most important lectures given over the last eight years at the Annual Singapore General Hospital Colorectal Week. This event has become an internationally acclaimed gathering and the book contains updated lecture notes from the last seven conferences. These lecture notes, together with the book chapters, contain material not often found in other books and will be a valuable source of reference for clinicians dealing with the problems discussed in the text.

Brain Hypothermia

2012-12-06 Medical

Author : N. Hayashi
Release : 2012-12-06
Genre : Medical
Kind : eBook
Book Rating : 829/5 ( reviews)

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Book Synopsis Brain Hypothermia by : N. Hayashi

Download or read book Brain Hypothermia written by N. Hayashi. This book was released on 2012-12-06. Available in PDF, EPUB and Kindle. Book excerpt: Rapid progress in technology and its application to diagnosis and monitoring of brain tissue temperature and metabolism have resulted in advances in the therapy for critically brain-injured patients and breakthroughs in understanding the pathophysiology of brain damage. The latest concept of brain hypothermia therapy clarifies targets such as brain thermal pooling, masking brain hypoxia associated with catecholamine surge, the metabolic shift from glucose to lipids, and selective radical damage of dopamine in the central nervous system. This volume explains the mechanism of brain injury and how brain hypothermia treatment differs from other hypothermia therapy in four major sections: Brain Injury Mechanism, Pathophysiology of Hypothermia, Basic Research of Hypothermia Treatment, and Clinical Studies of Brain Hypothermia. The book is a valuable source for practitioners and researchers in neurosurgery and neurology and in critical care and emergency medicine.

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Evaluation of an Enhanced Recovery Pathway in Post Surgical Cardiac Patients in Intensive Care. Warm, Wake and Wean

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